IndividualActive
Brenda Bonilla
NPI 1003342155 · Clinical Social Worker · Portland, OR
Provider details
- NPI number
- 1003342155
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 97763 (CA)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
Profile Score
Detailed profile(79/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
4 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
3181 Sw Sam Jackson Park Rd
Portland, OR 97239-3011
Phone: (503) 494-2273
Fax: (503) 494-6023
Street-level locationGet directions
Mailing address
1400 Sw 5th Ave Ste 500
Portland, OR 97201-5537
Additional practice locations (3)
- 3939 Atlantic Ave Ste 103Long Beach, CA 90807-3529Phone: (562) 264-6001
- 8019 Compton AveLos Angeles, CA 90001-3409Phone: (323) 586-7333
- 1400 S Grand AveSuite 600Los Angeles, CA 90015-3048Phone: (213) 742-6250
Registry dates
- Enumerated
- 2017-05-11
- Last updated
- 2024-10-15
- Certified
- 2024-01-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.